Jornal de Neurologia Clínica e Neurocirurgia

A rare neuroradiological presentation of tubercular meningitis

Abstract

Siddharth Maheshwari, Aldrin Anthony, Suman Kushwaha, Monali Chaturvedi, Chirag Gupta

Central nervous system (CNS) tuberculosis (TB) remains a leading cause of morbidity and mortality in Immunocompetent and Immunocompromised patients in the developing world. Tuberculosis can involve the brain parenchyma (Subpial or Subependymal infective foci), meninges or adjacent bone with a wide variety of clinical and radiological manifestations. Intracranial tuberculomas are the most common neuro-radiological manifestation of TB. Neuroimaging features of tuberculous meningitis (TBM) include hydrocephalus, meningeal enhancement, infarction, tuberculomas, abscess, cerebral edema, and calcification. Here we report a case of a 25-year-old male presented to us with TBM with Magnetic resonance imaging (MRI) resemblance to the findings in Wilson disease, which is a rare entity in TBM Neuroimaging.